Subject(s)
Alkaline Phosphatase/blood , Antifungal Agents/adverse effects , Arthritis/chemically induced , Aspergillus fumigatus/drug effects , Bone Remodeling/drug effects , Neuroaspergillosis/drug therapy , Periostitis/chemically induced , Voriconazole/adverse effects , Adult , Antifungal Agents/administration & dosage , Arthritis/blood , Arthritis/diagnosis , Arthritis/physiopathology , Aspergillus fumigatus/pathogenicity , Biomarkers/blood , Drug Substitution , Humans , Male , Micafungin/administration & dosage , Neuroaspergillosis/diagnosis , Neuroaspergillosis/microbiology , Periostitis/blood , Periostitis/diagnosis , Periostitis/physiopathology , Risk Factors , Treatment Outcome , Up-Regulation , Voriconazole/administration & dosageSubject(s)
Periostitis , Radiography, Thoracic/methods , Radionuclide Imaging/methods , Tomography, X-Ray Computed/methods , Voriconazole/adverse effects , Adult , Antifungal Agents/administration & dosage , Antifungal Agents/adverse effects , Female , Humans , Immunocompromised Host , Periostitis/chemically induced , Periostitis/diagnostic imaging , Periostitis/physiopathology , Treatment Outcome , Voriconazole/administration & dosage , Whole Body Imaging/methods , Withholding TreatmentSubject(s)
Alprostadil/adverse effects , Bone Remodeling/physiology , Heart Transplantation , Hypoplastic Left Heart Syndrome/drug therapy , Periostitis/chemically induced , Alprostadil/therapeutic use , Follow-Up Studies , Humans , Hypoplastic Left Heart Syndrome/diagnostic imaging , Hypoplastic Left Heart Syndrome/surgery , Infant, Newborn , Infusions, Intravenous , Intensive Care Units, Pediatric , Lower Extremity , Male , Periostitis/diagnostic imaging , Periostitis/physiopathology , Radiography/methods , Risk Assessment , Time Factors , Withholding TreatmentABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Arthritis, Psoriatic , Rheumatoid Factor/isolation & purification , Toe Phalanges/pathology , Toe Phalanges , Sclerosis , Diagnosis, Differential , Psoriasis/complications , Erythema/complications , Periostitis/complications , Periostitis/physiopathologySubject(s)
Antifungal Agents/adverse effects , Cystic Fibrosis/drug therapy , Periostitis/chemically induced , Voriconazole/adverse effects , Antifungal Agents/administration & dosage , Arthralgia/diagnosis , Arthralgia/etiology , Cystic Fibrosis/diagnosis , Cystic Fibrosis/surgery , Dose-Response Relationship, Drug , Drug Administration Schedule , Edema/etiology , Edema/physiopathology , Follow-Up Studies , Hand/physiopathology , Humans , Lung Transplantation/adverse effects , Lung Transplantation/methods , Male , Middle Aged , Periostitis/diagnostic imaging , Periostitis/physiopathology , Postoperative Period , Radionuclide Imaging/methods , Risk Assessment , Severity of Illness Index , Voriconazole/administration & dosageABSTRACT
La osteoartropatía hipertrófica es una entidad caracterizada por la tríada de periostitis de huesos largos, acropaquias y artritis. Radiológicamente se distinguen 2 patrones; uno caracterizado por neoformación ósea que predomina en pacientes con patología pulmonar, y otro por acro-osteolisis que se asocia más frecuentemente con cardiopatías congénitas. Presentamos el caso de un varón de 30 años diagnosticado de hipertensión arterial pulmonar primaria desde los 2 años, que desarrolló una osteoartropatía hipertrófica con un patrón radiológico mixto (AU)
Hypertrophic osteoarthropathy is an entity characterized by a triad of periostitis of long bones, clubbing and arthritis. Radiologically there are two patterns, one characterized by new bone formation which predominates in patients with pulmonary disease, and another by acro-osteolysis that is most frequently associated with congenital heart disease. We report the case of a 30-year-old man diagnosed with primary pulmonary hypertension for two years, developing hypertrophic osteoarthropathy with a mixed radiological pattern (AU)
Subject(s)
Humans , Male , Adult , Osteoarthropathy, Primary Hypertrophic/complications , Osteoarthropathy, Primary Hypertrophic/diagnosis , Acro-Osteolysis/complications , Acro-Osteolysis/diagnosis , Hypertension, Pulmonary/complications , Periostitis/complications , Hand , Foot , Osteoarthropathy, Primary Hypertrophic/physiopathology , Osteoarthropathy, Primary Hypertrophic , Osteolysis , Acro-Osteolysis , Periostitis/physiopathology , PeriostitisABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , Osteoarthropathy, Primary Hypertrophic/complications , Osteoarthropathy, Primary Hypertrophic/diagnosis , Periostitis/complications , Periostitis/diagnosis , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Osteoarthropathy, Primary Hypertrophic/physiopathology , Osteoarthropathy, Primary Hypertrophic , Periostitis/physiopathology , Periostitis , Diagnosis, DifferentialABSTRACT
A case of dirofilariosis is reported. The disease is believed to be caused by the contact with the cat that the patient brought in from Uzbekistan. The authors emphasize the importance of analysis of the medical history of the patients presenting with the pathology being considered, their medical examination, and correct interpretation of X-ray images of the paranasal sinuses taking into account the possibility of distribution of rare helminth species beyond their usual ranges.
Subject(s)
Dirofilaria repens/isolation & purification , Dirofilariasis , Epidermal Cyst , Orbital Diseases , Punctures/methods , Animals , Anti-Bacterial Agents/therapeutic use , Cats , Dirofilariasis/complications , Dirofilariasis/diagnosis , Dirofilariasis/parasitology , Dirofilariasis/physiopathology , Dirofilariasis/therapy , Epidermal Cyst/etiology , Epidermal Cyst/physiopathology , Epidermal Cyst/therapy , Female , Humans , Middle Aged , Orbit/pathology , Orbital Diseases/etiology , Orbital Diseases/physiopathology , Orbital Diseases/therapy , Paranasal Sinuses/pathology , Periostitis/drug therapy , Periostitis/etiology , Periostitis/physiopathology , Rare Diseases/complications , Rare Diseases/diagnosis , Rare Diseases/parasitology , Rare Diseases/physiopathology , Rare Diseases/therapy , Treatment OutcomeABSTRACT
53 patients were under observation with acute purulent jaw odontogenic periostitis. In 27 out of them after operation as drainage material strips of napkin were used, containing as the active components metronidazol, dimexide and sodium alginate. Curative process efficacy evaluation was done according to the data of hemodynamic study (determination of the artery's diameter, maximal systolic speed and index of circulatory resistance) of the magistral face arteries. It was established that in the group of patients with rational treatment blood circulation in face arterial vessels was restored most actively than in the control group with the use of traditional treatment scheme.
Subject(s)
Face/blood supply , Hemodynamics , Jaw Diseases/etiology , Jaw Diseases/physiopathology , Periostitis/etiology , Periostitis/physiopathology , Regional Blood Flow , Stomatognathic Diseases/complications , Adolescent , Adult , Arteries/physiopathology , Female , Humans , Male , Middle Aged , Suppuration , Young AdultABSTRACT
Periosteal reaction has different etiologies in early infancy. Physiological periostitis is a well-documented X-ray finding seen in both preterm and term babies aged between 1-6 months and can easily be misdiagnosed as child abuse or pathological periostitis. Here, we present a 2.5-month-old infant admitted with a history of fever, swollen right upper arm after vaccination and X-rays findings revealing periosteal reactions on both sides of the humeri, radii, tibiae and femora. Initial diagnosis was child abuse or congenital syphilis. Due to the normal physical findings and normal serological-biochemical data, physiological periostitis was diagnosed. Physiological periostitis should also be considered in patients with periosteal reactions of the long bones in infants aged between 1-6 months.
Subject(s)
Periostitis/diagnosis , Periostitis/physiopathology , Humans , Infant , Male , Osteogenesis , Periosteum/diagnostic imaging , Periosteum/physiology , RadiographyABSTRACT
A retrospective study of 531 leprosy patients was undertaken to study the profile of reactions in the post Multi-Drug-Therapy period in a tertiary hospital in Delhi. BT was the most common group. The prevalence of reactions was found to be 8.09% for the Type 1 and 4.70% for the Type 2 reactions for a male:female ratio of 2.2. The Type 1 reaction was most frequently observed in the BB group followed by BL, BT and LL groups respectively. More than half of the patients had reactions at the time of presentation. In only 39.8% of the patients did reaction follow Multi-Drug-Therapy. In 4.5% of the patients with Type 1 reactions (T1R), concomitant infections were noted. The most common presentation of T1R was cutaneous lesions (74.41%) followed by cutaneous lesions and neuritis (53.6%), neuritis alone (12.1%), and only edema of hands and feet (7.31%) respectively. The Type 2 reactions (T2R) presented chiefly as papulo-nodular (92%) lesions followed by pustulonecrotic (8%) lesions. Associated neuritis was found in 40% and periosteitis and iritis in 8% and 4%, respectively. In 8.6% of the patients with T2R, precipitating factors could be observed. The prevalence of deformities in patients with reaction was 25%, and was more common in females. Deformities were observed in 23.25% of the T1R patients and 28% of the T2R patients.
Subject(s)
Leprosy/physiopathology , Adolescent , Adult , Aged , Child , Drug Combinations , Edema/physiopathology , Erythema Nodosum/physiopathology , Female , Foot Dermatoses/physiopathology , Hand Dermatoses/physiopathology , Humans , Hypersensitivity, Delayed/physiopathology , Immune Complex Diseases/physiopathology , Iritis/physiopathology , Leprostatic Agents/administration & dosage , Leprostatic Agents/therapeutic use , Leprosy/drug therapy , Leprosy, Borderline/drug therapy , Leprosy, Borderline/physiopathology , Leprosy, Lepromatous/drug therapy , Leprosy, Lepromatous/physiopathology , Leprosy, Tuberculoid/drug therapy , Leprosy, Tuberculoid/physiopathology , Male , Middle Aged , Neuritis/physiopathology , Periostitis/physiopathology , Retrospective Studies , Sex FactorsABSTRACT
The subsesamoid joints of the thumb are a common site of arthritis, but their small size makes diagnosis of disorders challenging. The sesamoid and subsesamoid joints may also be injured acutely with the volar plate complex during hyperextension injuries, and may sometimes produce mechanical dysfunction. Simple excision of chronically painful sesamoids provides excellent relief.
Subject(s)
Arthritis/surgery , Sesamoid Bones , Thumb , Arthritis/pathology , Arthritis/physiopathology , Fractures, Bone/diagnostic imaging , Fractures, Bone/physiopathology , Humans , Joint Dislocations/surgery , Periostitis/physiopathology , Periostitis/surgery , Radiography , Sesamoid Bones/diagnostic imaging , Sesamoid Bones/injuries , Sesamoid Bones/surgery , Thumb/anatomy & histologySubject(s)
Graves Disease/complications , Leg/pathology , Periostitis/immunology , Periostitis/pathology , Tibia/pathology , Humans , Leg/physiopathology , Male , Middle Aged , Muscle, Skeletal/immunology , Muscle, Skeletal/pathology , Muscle, Skeletal/physiopathology , Muscular Diseases/immunology , Muscular Diseases/pathology , Muscular Diseases/physiopathology , Periostitis/physiopathology , Tibia/physiopathologySubject(s)
Bone Neoplasms/diagnosis , Football/injuries , Periostitis/diagnosis , Sarcoma, Ewing/diagnosis , Ulna , Adolescent , Humans , Magnetic Resonance Imaging , Male , Osteogenesis , Periostitis/diagnostic imaging , Periostitis/etiology , Periostitis/physiopathology , Tomography, X-Ray Computed , Ulna/diagnostic imagingABSTRACT
Correlation between bioclimatical and meteorological factors is well documented. The aim of this study was to investigate the correlation between dental periostitis and meteorological fronts, cyclon and anticyclon. We found a positive, statistically significant correlation between occurrence of warm meteorological front, cyclon, anticyclon and prevalence of dental periostitis. It could have important implications in organizing the work of dental teams.
Subject(s)
Meteorological Concepts , Periostitis/etiology , Climate , Female , Humans , Hungary , Male , Periostitis/physiopathology , WeatherABSTRACT
Masticatory inhibitory mechanisms were studied in 10 patients treated for diffuse sclerosing osteomyelitis of the mandible. Their masseter inhibitory reflex responses were provoked electrically by mental nerve stimulation during maximal clenching of the teeth. The masseter inhibitory reflex was normal in two patients and significantly abnormal in eight patients. The two patients with a normal masseter inhibitory reflex were free of complaints, whereas, of the eight patients with an abnormal masseter inhibitory reflex, two were free of complaints and six had moderate to severe symptoms. In three patients, spasms and involuntary bursts of electromyographic activity were found. The abnormal masseter inhibitory reflex consisted of a loss of early and late components in four patients or a loss of the late component with a normal early one in four patients. These findings seem to support the hypothesis that diffuse sclerosing osteomyelitis of the mandible is a chronic tendoperiostitis caused by muscle overuse. It is suggested that this overuse is caused by central hyperexcitability of trigeminal motoneurons.
Subject(s)
Mandibular Diseases/physiopathology , Masseter Muscle/physiopathology , Osteomyelitis/physiopathology , Osteosclerosis/physiopathology , Periostitis/physiopathology , Adolescent , Adult , Aged , Chronic Disease , Electromyography , Female , Humans , Male , Mandibular Diseases/etiology , Middle Aged , Motor Neurons/physiology , Muscle Contraction , Neural Inhibition , Osteomyelitis/etiology , Osteosclerosis/etiology , Periostitis/complications , Reflex, Abnormal , Refractory Period, Electrophysiological , Tendinopathy/complications , Tendinopathy/physiopathology , Trigeminal Nerve/physiopathologyABSTRACT
Diffuse sclerosing osteomyelitis of the mandible is a disease that is characterized by a protracted course of recurrent pain, swelling of the cheek, and trismus. The cause of the lesion has been obscure for a long period of time. Recent research, however, pointed out that this disease is likely to be caused by overuse of the jaw musculature (chronic tendoperiostitis) and can be treated accordingly. The protracted course of the disease and the difficulty of treatment with an eventual positive outcome are illustrated by a case report of a 65-year-old man with an 11-year history of diffuse sclerosing osteomyelitis (chronic tendoperiostitis) of the mandible.
Subject(s)
Mandibular Diseases/etiology , Masticatory Muscles/physiopathology , Osteomyelitis/etiology , Periostitis/etiology , Tendinopathy/etiology , Aged , Chronic Disease , Follow-Up Studies , Humans , Male , Mandibular Diseases/physiopathology , Mandibular Diseases/therapy , Muscle Contraction , Osteomyelitis/physiopathology , Osteomyelitis/therapy , Periostitis/physiopathology , Periostitis/therapy , Relaxation Therapy , Tendinopathy/physiopathology , Tendinopathy/therapyABSTRACT
A study was performed to determine the frequency of periosteal reaction associated with chondroblastoma, to investigate the underlying pathophysiology of the periosteal reaction, and to postulate the clinical importance of this radiographic observation. Two hundred fourteen histologically proved chondroblastomas were reviewed and observed for the presence or absence of periosteal reaction and for radiographic changes that might explain the cause of the periosteal reaction. A similar review was performed on 30 other epiphyseally centered lesions of various causes. A distinctive thick, solid periosteal reaction distal to the chondroblastoma was present in 47% of all chondroblastomas and 57% of chondroblastomas present in long bones (excluding the greater trochanter). No periosteal reaction was observed in any of the 30 epiphyseally centered lesions of other causes. When available for observation, plain films showed inflammatory changes in the joint surrounding the chondroblastoma, bone scintigraphy showed tracer uptake similar to that observed in inflammatory lesions and aggressive neoplasms, and MR images showed change in the marrow surrounding the chondroblastoma consistent with edema. This suggests an inflammatory reaction to the chondroblastoma, rather than mechanical stress across a weakened epiphysis, as the cause of the periostitis. We conclude that frequently the chondroblastoma produces a distinctive thick solid or layered periosteal response distant from the lesion along the diametaphyseal shaft. Observation of this unique periosteal response may help to distinguish chondroblastoma from other epiphyseally centered lesions.
